Evidence map›Paper›PMID 37221414›Full record

ArticleSurgical endoscopy2023

Factors influencing surgeon well-being: qualitatively exploring the joy of surgery.

Dorothy Hughes, Melissa N Hanson, Adnan Alseidi, John Romanelli, Melina Vassiliou, Liane S Feldman, Horacio Asbun

Abstract read
In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dorothy HughesDepartments of Population Health and Surgery, University of Kansas School of Medicine-Salina, 138 N Santa Fe Ave, Salina, KS, 67401, USA. dhughes5@kumc.edu.ORCID http://orcid.org/0000-0002-8952-450X
Melissa N HansonSteinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Center, Montreal, QC, Canada.
Adnan AlseidiDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
John RomanelliDepartment of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, Springfield, MA, USA.
Melina VassiliouSteinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Center, Montreal, QC, Canada.
Liane S Feldman *Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Center, Montreal, QC, Canada.
Horacio Asbun *Department of Hepato-Pancreato-Biliary Surgery, Miami Cancer Institute, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been considerable research into burnout but much less into how surgeons thrive and find joy. This study, conducted by the SAGES Reimagining the Practice of Surgery Task Force, explored factors influencing surgeon well-being, the eventual goal being translating findings into tangible changes to help restore the joy in surgery.

methodsThis was a qualitative, descriptive study. Purposive sampling ensured representation across ages, genders, ethnicities, practice types, and geographies. Semi-structured interviews were recorded and transcribed. We coded inductively, finalized the codebook by consensus, and then constructed a thematic network. Global themes formed our conclusions; organizing themes gave additional detail. Analysis was facilitated by NVivo.

resultsWe interviewed 17 surgeons from the US and Canada. Total interview time was 15 hours. Our global and organizing themes were: Stressors (Work-life Integration, Administration-related Concerns, Time and Productivity Pressures, Operating Room Factors, and Lack of Respect). Satisfaction (Service, Challenge, Autonomy, Leadership, and Respect and Recognition). Support (Team, Personal Life, Leaders, and Institutions). Values (Professional and Personal). Suggestions (Individual, Practice, and System level). Values, stressors, and satisfaction influenced perspectives on support. Experiences of support shaped suggestions. All participants reported stressors and satisfiers. Surgeons at all stages enjoyed operating and being of service. Supports and suggestions included compensation and infrastructure, but human resources were most critical. To experience joy, surgeons needed high-functioning clinical teams, good leaders/mentors, and supportive family/social networks.

conclusionsOur results indicated organizations could (1) better understand surgeons' values, like autonomy; (2) provide more time for satisfiers, like patient relationship building; (3) minimize stressors, like time and financial pressures; and (4) at all levels focus on (4a) building teams and leaders and (4b) giving surgeons time and space for healthy family/social lives. Next steps include developing an assessment tool for individual institutions to build "joy improvement plans" and to inform surgical associations' advocacy efforts.

Indexed as

Burnout, ProfessionalSurgeonsCanadaFemaleHumansMaleBurnoutJoyOccupational stressSurgeonsWork engagementWorkplace

Identifiers

PMID37221414
PMCPMC10204656

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.